Demaris E Tisdale


Address: 69 Barre St, Suite 3, Montpelier, VT 05602-3504
Phone: 8022292770

Demaris E Tisdale (NPI# 1043339773, PAC ID# 6305018532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1043339773
PAC ID by PECOS 6305018532
Professional Enrollment ID I20111013000023
Full Name Demaris E Tisdale
Address 69 Barre St
Suite 3
Montpelier
VT 05602-3504
Phone Number 8022292770
Gender F
Graduation Year 1981
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
69 Barre St, Suite 3, Montpelier, VT 05602-3504 8022292770

Organization Information

Office Location

Street Address 69 BARRE ST
SUITE 3
City MONTPELIER
State VT
Zip 05602-3504

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Jacqueline Gallagher Physician Assistant Central Vermont Medical Center Inc 1311 Barre Montpelier Rd, Berlin, VT 05602
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Competitor

Search similar physicians

City MONTPELIER
Zip Code 05602
Specialty CLINICAL SOCIAL WORKER
City + Specialty MONTPELIER + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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